Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANSHUL KUMAR M.D.
NPI 1558674226
Internal Medicine in Vineland, NJ

Active since July 22, 2010PECOS EnrolledAccepts Medicare Assignment
1318 S MAIN RD STE 2A, VINELAND, NJ 08360(856) 205-9900(856) 205-0041 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 9, 2026, Sep 25, 2026 (2 updates tracked since 2026).

About Anshul Kumar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANSHUL KUMAR M.D. (NPI 1558674226) is an individual internal medicine provider in Vineland, New Jersey, licensed in New Jersey (25MA09556400) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1558674226
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANSHUL KUMARCredential: M.D.
Location Address1318 S MAIN RD STE 2AVineland, NJ 08360-6516
Mailing Address1318 S Main Rd Ste 2a, Cumberland Nephrology AssociatesVineland, NJ 08360-6516 · (856) 205-9900 · Fax (856) 205-0041
Fax(856) 205-0041
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 22, 2010
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1558674226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA09556400✔ Licensed in PA · MD447006
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License MT194728 (PA)
1318 S MAIN RD STE 2A, Vineland, NJ 08360

Other Names 1

Professional Name (2)Anshul Kumar M.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anshul Kumar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012153679
PECOS Enrollment IDI20141020001552
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anshul Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology
1318 S MAIN RD, BUILDING #3
Vineland, NJ 08360
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
707 services229 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
365 services82 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
322 services39 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
299 services116 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
294 services220 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services114 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
30%112 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
43%182 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers17 claims17 services$18.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers18 claims20 services$12.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1318 S MAIN RD STE 2A
VINELAND, NJ 08360
Nurse Practitioner (Family)
1318 S MAIN RD STE 2A
VINELAND, NJ 08360
Internal Medicine (Nephrology)
1318 S MAIN RD STE 2A
VINELAND, NJ 08360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anshul Kumar's NPI number?

The NPI number for Anshul Kumar is 1558674226. It was assigned to this individual provider in the NPPES registry on July 22, 2010. The provider is also known as Anshul Kumar M.D..

Where is Anshul Kumar located?

Anshul Kumar practices at 1318 S Main Rd Ste 2A, Vineland, NJ 08360. The listed phone number is (856) 205-9900.

What is Anshul Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anshul Kumar enrolled in Medicare?

Yes. Anshul Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anshul Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anshul Kumar reassigns Medicare benefits to Cumberland Nephrology Associates (Vineland, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anshul Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anshul Kumar accept?

Health plans from Ambetter Health and Oscar Health list Anshul Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anshul Kumar affiliated with any hospitals?

According to CMS data, Anshul Kumar is affiliated with Cooper University Hospital, Inspira Medical Center Vineland and Inspira Medical Center Mullica Hill.

When was this NPI record last updated?

The NPPES record for Anshul Kumar was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.